Utshintsho lwebele lwangaphambi kokuya exesheni

Ukudumba kwangaphambi kokuya exesheni kunye nokuthamba kwawo omabini amabele kwenzeka ngesiqingatha sesibini somjikelo wokuya exesheni.

Iimpawu zokuthamba kwangaphambi kokuya exesheni zinokubakho ukusuka kubumnene ukuya kubunzima. Iimpawu zihlala:

• Ziba qatha kakhulu ngaphambi kokuba uye exesheni
• Ukuphucula ngexesha okanye ngokuchanekileyo emva kwexesha lokuya esikhathini

Izicubu zamabele zinokuba ne-dense, bumpy, "cobblestone" ive kwiminwe. Olu luvo luhlala ngakumbi kwiindawo ezingaphandle, ngakumbi kufutshane nekhwapha. Kukho ukubakho kokucinywa kunye nokuqhubekayo okanye okuqhubekayo kokugcwala kwamabele ngobuthathaka, iintlungu ezinzima kunye nothando.

Utshintsho lwehormone ngexesha lokuya exesheni kunokubangela ukudumba kwebele. I-estrogen engaphezulu yenziwa kwangoko kumjikelo kwaye iphakama nje ngaphambi komjikelo ophakathi. Oku kubangela ukuba imibhobho yesifuba ikhule ngobukhulu. Inqanaba leprogesterone liphakama kufutshane nomhla wama-21 (kumjikelo weentsuku ezingama-28). Oku kubangela ukukhula kwamabele amabele (amadlala obisi).

Ukudumba kwangaphambi kokuya exesheni kuhlala kunxulunyaniswa:

• Isifo se-Premenstrual syndrome (PMS)
• Isifo sesifuba se-Fibrocystic (utshintsho lwebele)

Ukuthamba kwangaphambi kokuya exesheni kunye nokudumba kusenokwenzeka ukuba kwenzeka kwinqanaba elithile phantse kubo bonke abantu basetyhini. Iimpawu ezibi kakhulu zinokubakho kwabasetyhini abaninzi ngexesha lokuzala kwabo. Iimpawu zingangaphantsi kwabafazi abathatha iipilisi zokulawula ukuzalwa.

Imiba yomngcipheko inokubandakanya:

• Imbali yosapho
• Ukutya okunamafutha aphezulu
• I-caffeine eninzi

Iingcebiso zokuzinyamekela:

• Yitya ukutya okunamafutha asezantsi.
• Gwema icaffeine (ikofu, iti kunye netshokholethi).
• Thintela ityuwa 1 ukuya kwiiveki ezimbini phambi kokuba uqale
• Yenza umthambo ngamandla yonke imihla.
• Nxiba ibra efanelekileyo ngokufanelekileyo imini nobusuku ukubonelela ngenkxaso elungileyo yamabele.

Kuya kufuneka uziqhelanise nokwazisa amabele. Jonga amabele akho malunga notshintsho rhoqo.

Ukusebenza kwe-vitamin E, i-vitamin B6, kunye nokulungiswa kwemifuno enjengeoli ye-primrose yangokuhlwa kuyimpikiswano. Oku kufuneka kuxoxwe nomboneleli wakho wezempilo.

Fowunela umnikezeli wakho ukuba:

• Unamaqhuma amatsha, angaqhelekanga, okanye atshintshayo kwithishu yamabele
• Yiba namaqhuma asecaleni elinye (angadibaniyo) kwizicubu zamabele
• Andazi ukuba ndingalwenza njani uvavanyo lwebele
• Ngaba ungumfazi, uneminyaka engama-40 ubudala okanye ngaphezulu, kwaye awuzange ube novavanyo lwe-mammogram
• Ukukhupha kwingono yakho, ngakumbi ukuba kukuphalala kwegazi okanye okumdaka
• Yiba neempawu eziphazamisa amandla akho okulala, kwaye utshintsho lokutya kunye nokuzilolonga akuncedanga

Umboneleli wakho uya kuthatha imbali yakho yezonyango kwaye enze uvavanyo lomzimba. Umboneleli uya kujonga amaqhuma amabele, kwaye uya kuqaphela iimpawu zesigaqa (esiqinileyo, esithambileyo, esigudileyo, esinamaqhuma, njalo njalo).

I-mammogram okanye i-ultrasound yesifuba ingenziwa. Olu vavanyo luya kuvavanya nakuphi na ukufunyanwa okungaqhelekanga kuvavanyo lwebele. Ukuba kufunyenwe isigaxa esingacacanga kakuhle, unokufuna ibeleopsy yebele.

La mayeza avela kumboneleli wakho anokunciphisa okanye aphelise iimpawu:

• Inaliti okanye izithonga eziqukethe i-hormone progestin (Depoprovera). Udubulo olunye lusebenza ukuya kwiintsuku ezingama-90. Ezi zitofu zinikwa izihlunu zengalo ephezulu okanye iimpundu. Zinciphisa iimpawu ngokuyeka ukuya exesheni.
• Iipilisi zokulawula inzala.
• I-diuretics (iipilisi zamanzi) ezithathiweyo ngaphambi kokuba uye exesheni. Ezi pilisi zinokunciphisa ukudumba kwebele kunye nokuthamba.
• I-Danazol ingasetyenziselwa kwiimeko ezinzima. I-Danazol yi-androgen eyenziwe ngabantu (ihomoni yamadoda). Ukuba oku akusebenzi kuwe, amanye amayeza anokumiselwa.

Ukuthamba kwangaphambili kunye nokudumba kwamabele; Ukuthamba kwebele - ngaphambi kokuya exesheni; Ukudumba kwamabele - ngaphambi kwexesha

• Ibele labasetyhini
• Ukuzivavanya amabele
• Ukuzivavanya amabele
• Ukuzivavanya amabele

Ikholeji yaseMelika yezithintelo kunye newebhusayithi yamaGynecologists. Idysmenorrhea: amaxesha abuhlungu. www.acog.org/patient-resource/faqs/gynecologic-problems/dysmenorrhea-painful-periods. Ukuhlaziywa ngoMeyi 2015. Kufumaneka ngoSeptemba 25, 2020.

Iphaneli yeNgcali yokuFanisa iMibele; IJokich PM, uBaley L, et al. Iikhrayitheriya zokufaneleka kwe-ACR yeentlungu zebele. J Ndiyi-Radiol. Ngo-2017; 14 (5S): S25-S33. IINKCUKACHA: 28473081 pubmed.ncbi.nlm.nih.gov/28473081/.

IMendiratta V, iLentz GM. I-dysmenorrhea yaseprayimari neyesekondari, i-premenstrual syndrome, kunye ne-premenstrual dysphoric disorder: i-etiology, isifo, isifo. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 37.

ISandadi S, iDwala DT, iOrr JW, iValea FA. Izifo zesifuba: ukufumanisa, ukulawula kunye nokujonga isifo sesifuba. Ku: Lobo RA, Gershenson DM, Lentz GM, Valea FA, ii-eds. Gynecology egqibeleleyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 15.

Sasaki J, Gelezke A, Kass RB, Klimberg VS, Copeland EM, Bland KI. I-Etiology kunye nolawulo lwezifo zesifuba. Ku: Bland KI, Copeland EM, Klimberg VS, Gradishar WJ, ii-eds. Isifuba: Ulawulo oluBanzi lwezifo ezinobungozi kunye nezifo ezinobungozi. Umhla we-5. IPhiladelphia, PA: Elsevier; I-2018: isahluko 5.